HomeMy Public PortalAbout5643 LOMA AVE_Plumbing__ 76A667-CE817 3-59
APPLICATION FOR PLUMBING PERMIT, �
COUNTY OF LOS ANGELES
DEPARTMEN49;4CROSSST.t ENGINEER
BUILDING DIVISION BUILDING �/� A/O L a� n"
IOHN A. Engineer ADDRESS "5-(l, 'j If A
CASSATT Dof Building LOCALITY
FOR AFILL IN NEAREST
CROSS ST. ^�
NUMBER FIXTURE OR ITEM OWNER ` 0 > L
WATER CLOSET MAIL
BATH TUB ADDRESS IZ
CITY TEL. NO.
• ,� SHOWER
L _ CONTRACTOR ai eyPlumbing C
o
y LAVATORY ADDRESS 442 W. Fleetwood P1.
SINK
DISHWASHER CITY - PI1 ora- TEL. NO. E+Ct 5-1 v•
CONTRACTORS 60847 STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP /ZOONE( PROCESSED BY
WATER HEATER V V j
/ GAS SYSTEM INDUSTRIAL-
WASTE
NDUSTRIALWASTE APPROVAL
INSPECTION RECORD
Y? fAes
- @ $1.00 PER ITEM ,. _
OR FIXTURE $ 'AP_PROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 4 2100 UNDER SLAB WORK �C
TOTAL FEE ROUGH PLUMBING.,
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A PLICATION
AND STATE THAT,THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
CEO'' '"p/s�J [.✓ a�larX.earf�;
LINSED AS REQUIRED BY LOS A GELES COUNTY AND STATE OF GAS TEST F`yAe`, ;� +7"�`{�ah+bi1fL�D
CALIFORNIA OR THAT I THE EGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PERT UTILITY CO:NOTIFIED
SIGNATURE '
OF PERMITTED
FINAL j
OF VALIDATION ROBERT A. WOOD,
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
r,
,DBS.17 3.55 APPLICATION FOR PLUM BI NG :PE-RMIT -
DIVISION OF BUILDING AND SAFETY
Department.of County Engineer
County of.Los Angeles
• BUILDING c 1�q AT '
WM.J. FOX,.COUNTY ENGINEER ADDRESS 'J643 Ne Loma Ave
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY Tewile�.�iity .
'FOR-APPLICANT 'TO FILL IN NEAREST
CROSS S11 TDuffe & BidwEll .St
OWNER Re Leak - - DISTRICT O. GROUP ?ONE READY FOR INSPECTION
MAIL_ADDRESS X643 N. Loma: •Avg e ,•. .� I �i
' CITY emple City. TEL. NO.AT' O2 _ INDUSTRIAL - -
T WASTE APPROVAL
PLUMBER Calif A-0-Pliane 6. his tall INSPECTION RECORD
ADDRESS -1420 Griffith Ave.-, - - -
CITYLOS- Angeles 21 TEL-. NO.RI: 72663 �--'q yA ,7 � -
LICENSE NO. #41 (':?le ! lG
NUMBER - TYPE OF FIXTURE_OR ITEM FEE
WATER CLOSET (TOILET) - $ �'+cd b ��•..r .
- BATH TUB. '
SHOWER
LAVATORY (WASH BASIN)-
KITCHEN SINK
DISHWASHER -
LAUNDRY TUB OR TRAY - -
CLOTHES WASHER - -
TOTAL NO. @ 0.80 APPROVALS.
DATE INSPECTOR'S SIGNATURE
-GAS SYSTEM •OUTLETS @ 1-.O I _
'•UNDER SLAB WORK "
WATER HEATER. @ 1.00 - - -
- - ROUGH PLUMBING
PERMIT S' 1 00 GAS Pi PING
TOTAL FEE I Z OO GAS VENT
I HEREBY' ACKNOWLEDGE,THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER- -
A N
D
EATER• _AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH 'AIL COUNTY ORDINANCES. AND STATE -LAWS REGULATING PLUMBING FIXTURES '
PLUMBING. - -
I. HEREBY CERTIFY THAT I AM .PROPERLY REGISTERED AND/OR "GAS TEST '
LICENSED AS REQUIRED BY LOS' ANGELES COUNTY AND STATE:OF -.•UTILITY CO. NOTIFIED
-
CALIFORNIA OR THAT 1 AM AL. OWNER ,OF E ABOVE -
DESCRIBED RESIDENTIAL PR
SIGNATURE - -
OF PERMITTEE FINAL
WILLIAM J. FOX;COUNTY ENGINEER VALIDATION R.A.WOOD,.CHIEF PLBG. INSPECTOR,
3 .. 2.40 .
1 76A667 DBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY-OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICTO. GROUP ZONE PERMIT NE3.
FOR APPLICANT TO FILL IN 5 ?",/ p
s� I
PLUMBER 1AU EY 0,0111 I RECEIVED BY READY FOR DATE ISSUED
AAI---
/ FIRST INSPECTION r
ADDRESS I I -�v y '/F/' ,7/ '
BUILDING
CITY COUNTYf� TEL. No. ADDRESS
L CENSE NO. 93 EXP REB - - -' LOCALITY ' S
NEAREST
PERMIT FEES CROSS ST. SQ
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
/ MAIL
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS
BATH TUB @ 0.50 CITY TEL No. *'
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASHBASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL*COUNTY ORDINANCES
KITCHEN SINK - @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID L09
l LAUNDRY TUB OR TRAY- @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM--?--OUTLETS @ O.SO �v
J _ SIGNATURE or - p
WATER HEATER .@ 13.51313.513PERMITTEE
SLOP SINK - @ 0.50 INSPECTION RECORD
_ - FLOOR SINK @ 0.50 -
FLOOR DRAIN @ 0.51)
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50 -G7'fJiCG7��
URINAL - @ 0.50 J
Q
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS - C7
O
APPROVALS
DATE INSPECTOR'S NAME
_ ROUGH PLUMBING
OAS PIPING r ��
�s
= GAS VENT
CESSPOOL @ 1:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT .
I 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE $ �� ✓ _�
FINAL /